Healthcare Provider Details

I. General information

NPI: 1124931001
Provider Name (Legal Business Name): THERAPEUTIC MILESTONES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1039 EMBER RIDGE RUN
LOXAHATCHEE FL
33470-6064
US

IV. Provider business mailing address

1039 EMBER RIDGE RUN
LOXAHATCHEE FL
33470-6064
US

V. Phone/Fax

Practice location:
  • Phone: 561-295-4216
  • Fax:
Mailing address:
  • Phone: 561-295-4216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SEROJINE BOBB
Title or Position: MANAGER, OCCUPATIONAL THERAPIST
Credential: MS OTR/L
Phone: 561-295-4216